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HomeMy WebLinkAboutPermit PG10-107 - MIEN EVANGELICAL CHURCHMIEN EVANGELICAL CHURCH 3505 S 140 ST PG1O-107 City cTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 -431 -2451 Web site: http://www.ci.tukwila.wa.us Parcel No.: 1523049155 Address: 3505 S 140 ST TUKW PLUMBING /GAS PIPING PERMIT Project Name: MIEN EVANGELICAL CHURCH Permit Number: PG10 -107 Issue Date: 10/22/2010 Permit Expires On: 04/20/2011 Owner: Name: MIEN EVANGELICAL CHURCH Address: 3505 S 140TH ST , TUKWILA WA 98168 Contact Person: Name: RENZO J NAKATA Address: 24 WETSTONE , IRVINE CA +2604 Email: RENZO@RJNARCHITECTS.COM Contractor: Name: ALLIED CLINIC BUILDERS LLC Address: 15802 NE 27 PL , BELLEVUE WA 98008 Contractor License No: ALLIECB908P2 Phone: 206 390 -4334 Phone: 425 702 -6367 Expiration Date: 10/22/2012 DESCRIPTION OF WORK: ADD (3) WATER CLOSETS, (1) URINAL, AND (4) LAVATORIES. REPLACE DRINKING FOUNTAIN. REMOVE (1) TOILET, (1) LAVATORY, AND (1) SINK. Value of Plumbing /Gas Piping: $8,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $291.38 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie xa with, Date: 1 i*_2( ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe - e of work. I am auhorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: 445 &ece) )1/ �?J -ZQi 2i Date: /pi - -q10)P This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: UPC -4/10 PG10 -107 Printed: 10 -22 -2010 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 1523049155 Address: Suite No: Tenant: 3505 S 140 ST TUKW MIEN EVANGELICAL CHURCH PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -107 ISSUED 08/16/2010 10/22/2010 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted m the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. * *continued on next page ** doc: Cond -10/06 PG 10 -107 Printed: 10 -22 -2010 • rn City of Tukwila y'2 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: htqx//www.ci.tulcwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: tic,oty)),Wd 9ei>,4ele, Date: ) p doc: Cond -10/06 PG10 -107 Printed: 10 -22 -2010 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Building Permit _No. - Mechanical Permit No y,. c Plumbing /Gas Permit" No P CID Public Works Permit No Project. No. (For office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION Site Address: 05 S. 140th St. Tenant Name: owner King Co Assessor's Tax No.: 1523049155 Suite Number:' Floor: Property Owners Name: Mien Evangelical Church Mailing Address: 3405 S. 140th St. New Tenant: ❑ Yes m ..No 98168 Zip Tukwila WA City State CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Renzo J. Nakata Mailing Address: 24 Wetstone E -Mail Address: Renzo @RJNarchitects.com Day Telephone: (206) 390 4334 Irvine CA City State 92604 Zip Fax Number: GENERAL: CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping.(pg 5)) Company Name: TBD Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT. OF RECORD — All plans must be stamped by Architect of Record Company Name: Renzo J. Nakata Architects Mailing Address: 24 Wetstone Contact Person: Renzo Nakata E -Mail Address: Renzo @RJNarchitects.com Irvine CA City Day Telephone: Fax Number: State (206) 390 -4334 92604 Zip ENGINEER OF RECORD All plans must be stamped by Engineer of Record Company Name: Mailing Address: None Contact Person: E -Mail Address: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7-2010 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 BUILDING PERMIT INFORMATI 206-431-3670 Valuation of Project (contractor's bid price): $ 25,000.00 Existing Building Valuation: $ 1,210,600.00 Scope of Work (please provide detailed information): Add Men's and Women's accessible toilets. Enlarge existing food preparation area. Divide existing stage area into two offices. Infill and alter existing window openings at area of remodel. Will there be new rack storage? ❑ Yes m.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below Existing 1 Floor 2nd Floor 5,480 lnterior`Remodel. 1,300 Addition to Existing Type of Construction per IBC• 0 0 3"1 Floor. Floors Basement 7,135 0 0 0 Accessory . Structure* Attached Garage. Detached Garage ; Attached ;Carport Detached`Carport Covered Deck Uncovered Deck Type :of Occupancy per :IBC V -1 A3 /B V -1 B PLANNING DIVISION: Single family building footprint (area o' + e foundation of all structures, plus any decks over inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide i e following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentatio ' i at shows that the principal owner lives in one of the dwellings as ht - r her primary residence. Number of Parking Stalls Pr' ided: Standard: Compact: Handicap: Will there be a change in .e? ❑ Yes m No If "yes ", explain: FIRE PROTECT 1 N/HAZARDOUS MATERIALS: ❑ Sp ' lers m Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be s age or use of flammable, combustible or hazardous materials in the building? ❑ Yes m No If "yes' • ttach list of materials and storage locations on a separate 8 -1 /2 "x I1 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Wpplications \Forms - Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 2 of 6 PLUMBING AND GAS PIPING PE IT INFORMATION — 206- 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: TBD Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ 8,000 Valuation of Gas Piping work (contractor's bid price): $ 0 Scope of Work (please provide detailed information): Add 3 water closets, 1 urinal, 4 lavatories. Replace 1 drinking fountain. Remove 1 toilet, 1 lavatory, 1 sink. Building Use (per Int'l Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: :Fixture Type = Qty.` Fixture Type: Qty Fixture Type: . Qty Fixture Type: Qty . Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) 1 Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory 4 Wash fountain Receptor, indirect waste Sinks Urinals 1 Water Closet 3 Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment 1 Repair or alteration of drainage or vent piping 1 Medical gas piping system serving 1 -5 inlets/outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H:\Applications\Forms- Applications On Line\2010 Applications \7.2010 - Permit Application.doc Revised: 7 -2010 bh Page 5 of 6 IDate Application Accepted: • . PERMIT•APPLICATION NOTES - Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 Intemational Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNE 1 '+ • UTHOJT ED GENT: Signature: Print Name: R-nzo J. Nakata Mailing Address: 24 Wetstone Date: 043/t/0 Day Telephone: 206.390.4334 Irvine CA 92604 City State Zip b2-4liv I �o Date Application Expires: it91 Staff Initials: H:WpplicationsWorms- Applications On Line\2010 Applications \7.2010 - Permit Application.doc Revised: 7 -2010 bh Page 6 of 6 Ck of Tukwila, Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: htip : /hvww. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R10 -02145 Initials: JEM Payment Date: 10/22/2010 User ID: 1165 Total Payment: 802.90 Payee: MIEN EVANGELICAL CHURCH SET ID: 1022 SET NAME: MIEN EVANGELICAL CHURCH SET TRANSACTIONS: Set Member D10 -215 PG10 -107 TOTAL: Amount 569.80 233.10 569.80 TRANSACTION LIST: Type Method Description Amount Payment Check 4732 802.90 TOTAL: 802.90 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES PLUMBING - NONRES STATE BUILDING SURCHARGE 000.322.100 000.322.103.00.0 640.237.114 565.30 233.10 4.50 TOTAL: 802.90 of Tukwila. Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http : //www. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R10 -01586 Initials: JEM Payment Date: 08/16/2010 User ID: 1165 Total Payment: 425.73 Payee: RENZO J NAKATA SET ID: S000001410 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member D10 -215 PG10 -107 TOTAL: Amount 367.45 58.28 367.45 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA ACCOUNT ITEM LIST: Description TOTAL: 425.73 425.73 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 TOTAL: 425.73 425.73 PAYMENT F('Fi VED INSPECTION NO. INSPECTION RECORD — Retain a,copy with permit r‘ l0 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 .:(206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Projec, Type gSlnspection �C 1 Address: -ft 3 S' S 1 o __... —; Date Called: Special Instructions: Date Wanted: % p m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. J COMMENTS: • ,n_erLA ` t La 0(ep . 1 t Inspector: ait Date: 41 ` (/ n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. L INSPECTION RECORD vRetain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION t2 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P6 / —i ©7 Project: in.E./ Ai g G" .404t 6,6z "*L Type of Inspection: t7//1 f 1 L, �/ 1:5 N8 7- Pbr tw Address: 3 5 O 5 / 4/0 -S°_ Date Called: ---7---0 Special Instructions: _ Date Wanted: 1,2 - /`/ —/0 � (P 7 Requester: '---Pi (,0 A7(e:)e__ o ois Le0'?-_-kr Phone No: J✓ r • • 0 Approved per app licable,c odes. erections required prior to approval. COMMENTS: ME q L/ n `j L/ AJA)„c, ---7---0 e '---Pi (,0 A7(e:)e__ o ois Le0'?-_-kr J✓ r h i InspKor: Date: n REINSPECTION FEE REQUIRED. Prior ta• next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PG(0-r °7 Pro ct` �� ���' _ �J` pe f Inspection: r t, 6 -E J P Address: 'TIN Date COO: ,, / r-a' �./ J /''k 3 0S C- 1.4d Special Instructions: Date Wanted: - - -0 c. ate-. p.m. Requester: Phone No 2o('22i ..6) S-g0 �pproved per applicable codes. El Corrections required prior to approval. COMMENTS: In pector: Date: n REINSPECTION FEE REQUIRED. Prior to :next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople ter Friendly Page .. Page 1 of 1 General /Specialty Contractor A business registered as a construction contractor with Lai to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name ALLIED CLINIC BUILDERS LLC UBI No. 603026698 Phone 4257026367 Status Active Address 15803 Ne 27Th Pl License No. ALLIECB908P2 Suite /Apt. License Type Construction Contractor City Bellevue Effective Date 10/22/2010 State WA Expiration Date 10/22/2012 Zip 98008 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date MCBEE, GEORGE B Partner /Member 10/22/2010 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 U S F INS CO 615978674 10/22/2010 Until Cancelled $12,000.00 10/22/2010 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 1 WEST AMERICAN INS CO BKW (11) 53 63 47 78 06/12/2010 06/12/2011 $1,000,000.00 10/22/2010 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: // fortress .wa.gov /lni /bbip /Print.aspx 10/22/2010